Individual
JULES M NEHMETALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 DARLING AVE, WAYCROSS, GA 31501-5246
(913) 338-6438
Mailing address
PO BOX 173, WAYCROSS, GA 31502-0173
(912) 338-6438
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
055262
GA
208M00000X
Hospitalist Physician
Primary
055262
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
735143213F
—
GA
01
—
P00239396
RAILROAD MEDICARE
—
Enumeration date
02/14/2006
Last updated
11/03/2009
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